Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-19T03:01:06.517Z Has data issue: false hasContentIssue false

Case 6 - Emergency Care in an Integrated Healthcare Delivery System

The Kaiser Experience

Published online by Cambridge University Press:  04 July 2017

By
Dana R. Sax ,
Jeffrey S. Selevan  and
Wm. Wesley Fields
Edited by
Jennifer L. Wiler ,
Jesse M. Pines  and
Michael J. Ward
Jennifer L. Wiler
Affiliation:
University of Colorado School of Medicine
Jesse M. Pines
Affiliation:
George Washington University, Washington DC
Michael J. Ward
Affiliation:
Vanderbilt University Medical Center, Tennessee
Get access

Summary

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Value and Quality Innovations in Acute and Emergency Care , pp. 110 - 117
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). PL 99-272. Title IX, Section 9121, 100 Stat 167 (1986).Google Scholar
Pitts, SR, Carrier, ER, Rich, EC, Kellermann, AL. Where Americans get acute care: increasingly, it’s not at their doctor’s office. Health Affairs (Millwood). 2010;29(9):1620–1629.CrossRefGoogle Scholar
Tang, N, Stein, J, Hsia, RY, Maselli, JH, Gonzales, R. Trends and characteristics of US emergency department visits, 1997–2007. JAMA. 2010 Aug 11;304(6):664–670.Google Scholar
Pines, JM, Mullins, PM, Cooper, JK, Feng, LB, Roth, KE. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. Journal of the American Geriatrics Society. 2013 Jan;61(1):12–17.CrossRefGoogle ScholarPubMed
Gonzalez Morganti, K, Bauhoff, S, Blanchard, JC, Abir, M, Iyer, N, Smith, A, Vesely, JV, Okeke, EN, Kellermann, AL. The Evolving Role of Emergency Departments in the United States. Santa Monica, CA: RAND Corporation, 2013. Available at www.rand.org/pubs/research_reports/RR280. Accessed June 10, 2013.Google Scholar
Massachusetts Division of Health Care Finance and Policy. Non-emergency and preventable ED visits. Analysis in Brief, vol. 2004. 2004.Google Scholar
Lochner, KA, Goodman, RA, Posner, S, Parekh, A. Multiple chronic conditions among Medicare beneficiaries: state-level variations in prevalence, utilization, and cost, 2011. Medicare Medicaid Res Rev. 2013 Jul 23;3(3):eCollection2013. www.dor.kaiser.org/external/comparison_kaiser_vs_nonKaiser_adults_kpnc/.Google Scholar
Williams, RM. The costs of visits to the emergency department. The New England Journal of Medicine 1996;334:642–646.CrossRefGoogle Scholar
Smulowitz, PB, Honigman, L, Landon, BE. A novel approach to identifying targets for cost reduction in the emergency department. Annals of Emergency Medicine. 2013 Mar;61(3):293–300.CrossRefGoogle ScholarPubMed
Taubman, SL, Allen, HL, Wright, BJ, Baicker, K, Finkelstien, AN. Medicaid increases emergency-department use: evidence from Oregon’s health insurance experiment. Science. 2014;343(6168):263–268.Google Scholar
Selevan, J, Kindermann, D, Pines, JM, and Fields, WW. What accountable care organizations can learn from Kaiser Permanente California’s acute care strategy. Population Health Management. 2015 Aug;18(4):233–236.CrossRefGoogle Scholar
Gordon, NP. How Does the Adult Kaiser Permanente Membership in Northern California Compare with the Larger Community? Oakland, CA: Kaiser Permanente Division of Research, June 2006. Available at www.dor.kaiser.org/external/comparison_kaiser_vs_nonKaiser_adults_kpnc/. Accessed May 5, 2013.Google Scholar
December 2011 Kaiser Permanente California Membership. Prepared by Kaiser Permanente Management Information and Analysis Membership Monthly Growth Report (MMGR), December 2011.Google Scholar
About Kaiser Permanente: Kaiser Permanente HealthConnect® Electronic Health Record. Available at http://xnet.kp.org/newscenter/aboutkp/healthconnect/. Accessed June 4, 2013.Google Scholar
Reed, M, Huang, J, Brand, R, Graetz, I, Neugebauer, R, Fireman, B, Jaffe, M, Ballard, DW, Hsu, J. Implementation of an outpatient electronic health record and emergency department visits, hospitalizations, and office visits among patients with diabetes. JAMA. 2013 Sep 11;310(10):1060–1065.Google Scholar
Zhou, YY, Kanter, MH, Wang, JJ, Garrido, T. Improved quality at Kaiser Permanente through e-mail between physicians and patients. Health Affairs (Millwood). 2010 Jul;29(7):1370–1375.Google Scholar
Selevan, JS, Fields, WW, Chen, W, Petitti, DB, Wolde-Tsadik, G. Critical care transport: outcome evaluation after interfacility transfer and hospitalization. Annals of Emergency Medicine. 1999 Jan;33(1):33–43.CrossRefGoogle ScholarPubMed
Internal KP data systems used for quality and data analysis.Google Scholar
Mogranti, KG, Bauhoff, S, Blanchard, JC, Abir, M, Neema, I, Smith, AC, Vesely, JV, Okeke, EN, and Kellermann, AL. The evolving role of emergency departments in the United States. RAND Corporation. 2013.Google Scholar
HCUP National Emergency Department Databases (NEDS). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality. Available at www.hcup-us.ahrq.gov/nedsoverview.jsp; 2011.Google Scholar
California Office of Statewide Health Planning and Development. Healthcare Information Division. Emergency Department Discharges, Public Data Set and Patient Discharges, Public Data Set, 2008–2011.Google Scholar
O’Malley, A. After-hours access to primary care practices linked with lower emergency department use and less unmet medical need. Health Affairs (Millwood). 2016 Feb;35(2):175–183.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×